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2021-2022 07.07 Student Records Release Form
Only the STUDENT can request student records once they achieve 18 years of age.
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* Indicates required question
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Suffix (Sr, Jr, III, etc)
Your answer
Maiden Name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Social Security Number (Optional)
Your answer
Phone Number
*
Your answer
Your Email Address
*
Your answer
Last Highlands County School Attended
*
Choose
Academy at Youth Care Lane
Avon Elementary School
Avon Park High School
Avon Park Middle School
Carver Public School (Closed)
Cracker Trail Elementary School
EO Douglas Public School (Closed)
Fred Wild Elementary School
Highlands Virtual School
Hill-Gustat Middle School
Kindergarten Learning Center
Lake Country Elementary School
Lake Placid Elementary School
Lake Placid High School
Lake Placid Middle School
Memorial Elementary School
Park Elementary School
Sebring High School
Sebring Middle School
Sun N Lake Elementary School
Woodlawn Elementary School
Year Withdrew
Your answer
Year Graduated
Your answer
Records to be released:
*
Academic Transcripts
Attendance Records
Immunization Records
Exceptional Student Education (ESE) Records
Other:
Release Records to:
*
Student
College or University
Employer
Other:
Please indicate the method in which you wish to receive your student records:
*
Fax
Mail
Email
Pick Up in Person
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